An evidence-based family support program for parents and children in Palestine: A theory-based intervention

针对巴勒斯坦父母和儿童的循证家庭支持计划：基于理论的干预

• 批准号: 10704014
• 负责人: EDWARD MARK CUMMINGS
• 金额: $ 49.6万
• 依托单位: UNIVERSITY OF NOTRE DAME
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-13 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10704014
• 关键词: Address; Adolescent; Affect; Aftercare; Behavioral; Caring; Child; Child Support; Child Welfare; Chronic; Clinical; Clinical Trials; Clinical Trials Design; Cognitive; Communities; Conflict (Psychology); Counseling; Data Collection; Development; Dimensions; Ecology; Ecosystem; Emotional; Ensure; Environment; Evaluation; Evidence based intervention; Evidence based program; Exposure to; Family; Future; Goals; Individual; Intervention; Mediating; Mental Health; Mental Processes; Methodology; Methods; Mission; Modeling; National Institute of Mental Health; Outcome; Parents; Pathway interactions; Personal Satisfaction; Pilot Projects; Policy Research; Politics; Population; Prevention; Procedures; Process; Program Acceptability; Program Evaluation; Psychopathology; Psychosocial Assessment and Care; Public Health; Randomized; Reaction; Recording of previous events; Research; Research Personnel; Research Training; Resource-limited setting; Resources; Risk; Safety; Security; Site; Social Processes; Surveys; System; Systems Theory; Testing; Time; Trauma; Violence; West Bank; Work; Youth; acceptability and feasibility; coping; cost effective; cost effective intervention; effective intervention; effectiveness evaluation; efficacy evaluation; evidence base; family support; follow-up; high risk; improved; innovation; intervention program; longitudinal design; low and middle-income countries; novel; programs; randomized, clinical trials; resilience; response; social; theories; treatment as usual; treatment effect; violence exposure

PROJECT SUMMARY/ABSTRACT Few evidence-based programs exist to support children and families affected by sociopolitical conflict, despite documented evidence of their heightened risk for emotional and behavioral adjustment problems associated with exposure to conflict and violence at multiple levels of the social ecology (e.g., political, community, and family). Thus, a critical need exists for an evidence-based program to ameliorate the impact of political violence on the overall well-being of children and families. The current study will conduct a rigorous evaluation of a theoretically-driven, family-based intervention program in Palestine, including both the West Bank and Gaza. Firmly grounded in the cultural context of Palestine but with broad implications for individuals exposed to sociopolitical violence, the long-term goal of this project is to provide a family-focused intervention program (Promoting Positive Family Futures; PPFF) that may facilitate individuals’ sense of safety and support in the context of chronic adversity. The objective is to evaluate this intervention program in the context of a randomized clinical trial (RCT) in the West Bank and Gaza (N=300). The central hypothesis is that the program will have direct positive effects on family conflict, parent psychopathology and parental security in the family as well as on adolescent emotional security in the family, with cascading effects on adolescent adjustment. Consistent with family systems theory, we further hypothesize that treatment effects on parents will mediate on the effects of the treatment on adolescent adjustment. The rationale is that bolstering resilience in family systems is a key approach to promoting positive functioning in families exposed to chronic violence. The hypothesis will be evaluated with three specific aims: 1) evaluate the efficacy of an evidence-based family support program; 2) examine process models of treatment change, and 3) examine interrelations between parent and child functioning. To achieve these aims, the study will be an RCT employing a longitudinal design (N=300) with multi-method assessments at baseline (T1), post-test (T2), 6-month follow-up (T3) and 12-month follow-up (T4). Families included in the study will be evenly divided between the West Bank (n=150) and Gaza Strip (n=150). Families will be randomized into the intervention condition (PPFF) or treatment as usual (TAU). Each territory will have an implementing partner, and implementing partners and investigators will work together to ensure the study procedures are implemented in parallel across sites. Data collection will be conducted by trained research staff from a third-party survey and policy research organization. The proposal seeks to shift current research and clinical paradigms in these contexts by employing novel theoretical concepts, approaches, and methodologies. The contribution will be significant by 1) further developing new directions for empirically-based interventions in these high-risk contexts, and 2) advancing a relatively brief, cost-effective program that can be readily implemented to help children and families exposed to continuing conflict in Palestine, with the potential to be brought to scale in other contexts.

项目概要/摘要 尽管很少有基于证据的计划来支持受社会政治冲突影响的儿童和家庭， 有记录的证据表明他们的沐浴风险与情绪和行为调整问题相关 暴露于社会生态多个层面（例如政治、社区和社会）的冲突和暴力 因此，迫切需要一项基于证据的计划来减轻政治暴力的影响。 当前的研究将对儿童和家庭的整体福祉进行严格的评估。 巴勒斯坦（包括西岸和加沙）的理论驱动的、以家庭为基础的干预计划。 牢固地扎根于巴勒斯坦的文化背景，但对接触该文化的个人具有广泛的影响 社会政治暴力，该项目的长期目标是提供以家庭为中心的干预方案 （促进积极的家庭未来；PPFF）可以促进个人在家庭中的安全感和支持感 目标是在长期逆境的背景下评估该干预计划。 在约旦河西岸和加沙进行的随机临床试验（RCT）（N=300）的中心假设是该计划。 将对家庭冲突、父母病理和家庭中的父母安全产生直接的积极影响 以及青少年在家庭中的情感安全，对青少年的适应产生连锁效应。 与家庭系统理论一致，我们进一步探讨了对父母的治疗效果会介导 治疗对青少年适应的影响的基本原理是支持家庭的复原力。 系统是促进长期遭受暴力的家庭发挥积极作用的关键方法。 假设将通过三个具体目标进行评估：1）评估基于证据的家庭的有效性 支持计划；2) 检查治疗改变的过程模型，以及 3) 检查之间的相互关系 为了实现这些目标，该研究将是一项采用纵向设计的随机对照试验。 (N=300) 在基线 (T1)、测试后 (T2)、6 个月随访 (T3) 和 12 个月时进行多种方法评估 后续行动（T4） 纳入研究的家庭将平均分配到西岸（n=150）和加沙。 脱衣（n = 150）家庭将被随机分为干预条件（PPFF）或照常治疗（TAU）。 每个地区都会有一个执行伙伴，执行伙伴和调查人员将共同工作 共同确保研究程序在各个地点并行实施。 由第三方调查和政策研究组织训练有素的研究人员进行该提案。 寻求通过采用理论小说来改变这些背景下当前的研究和临床范式 其贡献将在以下方面发挥重大作用：1) 进一步开发新的概念、途径和方法。 在这些高风险环境中进行基于经验的干预措施的方向，以及 2) 提出相对简短的、 具有成本效益的计划，可以很容易地实施，以帮助儿童和家庭继续面临 巴勒斯坦的冲突有可能在其他情况下扩大规模。